• Filter By:
• Specialty
• Source
• Condition
• Cancer
• Infectious Disease
• Drug
• Training
• Management
• Procedure
• Therapy
• Vaccine
• Nutrition
• Country

A commonly-used antidepressant doesn ' t improve recovery after stroke
The antidepressant fluoxetine works no better than placebo to reduce disability after a stroke, lowering hopes that had been raised by other smaller studies. After a six month trial including more than 3,000 adult stroke patients recruited at 103 UK hospitals, researchers concluded that fluoxetine should not be used to promote recovery from stroke-related disability, or routinely prescribed to prevent depression after stroke. Several smaller studies and animal trials had found promising results from the use of fluoxetine after stroke. However, this trial of fluoxetine 20mg daily for six months found no improvement in funct...
Source: Current Awareness Service for Health (CASH) - February 18, 2019 Category: Consumer Health News Source Type: news

National service model for an integrated community stroke service, NHS England (published /updated 28th February 2022)
The integrated community stroke service (ICSS) is part of the National Stroke Service model, coordinating transfer of care of stroke survivors from hospital, and providing home-based stroke rehabilitation through a specialist multidisciplinary team structure. The ICSS is an integrated seven days per week service, providing early supported discharge, high-intensive and needs-based community stroke rehabilitation and disability management.
Source: Current Awareness Service for Health (CASH) - March 1, 2022 Category: Consumer Health News Source Type: news

Sepsis-driven atrial fibrillation and ischaemic stroke. Is there enough evidence to recommend anticoagulation?
Sepsis can lead to cardiac arrhythmias, of which the most common is atrial fibrillation (AF). Sepsis is associated with up to a six-fold higher risk of developing AF, where it occurs most commonly in the first 3 days of hospital admission. In many patients, AF detected during sepsis is the first documented episode of AF, either as an unmasking of sub-clinical AF or as a newly developed arrhythmia. In the short term, sepsis that is complicated by AF leads to longer hospital stays and an increased risk of inpatient mortality. Sepsis-driven AF can also increase an individual ' s risk of inpatient stroke by nearly 3-fold, comp...
Source: Current Awareness Service for Health (CASH) - April 7, 2022 Category: Consumer Health News Source Type: news

Supported self-management improves quality of life and self-belief after stroke
Offering self-management programmes to people who have had a stroke may empower them to take charge of their lives. These programmes could help people live independently after hospital discharge, and improve their quality of life.
Source: Current Awareness Service for Health (CASH) - November 29, 2016 Category: Consumer Health News Source Type: news

Development of a prehospital assessment to identify stroke mimic conditions
Amongst ambulance patients with suspected stroke, a small number of SM can be identified with a high degree of certainty. This simple tool needs further validation, prospective testing in the pre-hospital environment with characteristics systematically recorded and consideration of potential clinical impact.
Source: Current Awareness Service for Health (CASH) - October 19, 2017 Category: Consumer Health News Source Type: news

New-Onset Atrial Fibrillation in Sepsis: A Narrative Review
Atrial fibrillation (AF) is a frequently identified arrhythmia during the course of sepsis. The aim of this narrative review is to assess the characteristics of patients with new-onset AF related to sepsis and the risk of stroke and death, to understand if there is a need for anticoagulation. We searched for studies on AF and sepsis on PubMed, the Cochrane database, and Web of Science, and 17 studies were included. The mean incidence of new-onset AF in patients with sepsis was 20.6% (14.7% in retrospective studies and 31.6% in prospective). Risk factors for new-onset AF included advanced age, white race, male sex, obesity,...
Source: Current Awareness Service for Health (CASH) - October 9, 2020 Category: Consumer Health News Source Type: news

Simulation modelling to assess prehospital thrombolysis
For patients with acute ischaemic stroke, treatment is more effective when given early after symptom onset (ie, the sooner, the better). Therefore, shortening time to treatment by starting it before hospital admission, as done by the Stroke Emergency Mobile (STEMO) project, might be a promising development in acute stroke treatment delivery
Source: Current Awareness Service for Health (CASH) - December 19, 2016 Category: Consumer Health News Source Type: news

Impact of post-sepsis cardiovascular complications on mortality in sepsis survivors: a population-based study
It remains unclear whether sepsis-related cardiovascular complications have an adverse impact on survival independent of pre-existing comorbidities. To investigate the survival impact of post-sepsis cardiovascular complications among sepsis survivors, we conducted a population-based study using the National Health Insurance Database of Taiwan. Compared to sepsis patients without incident MI or stroke, sepsis patients with incident MI or stroke following hospital discharge had an increased risk of mortality for up to 365 days of follow-up. This increased risk cannot be explained by pre-sepsis comorbidities.
Source: Current Awareness Service for Health (CASH) - October 30, 2019 Category: Consumer Health News Source Type: news

First UK study of COVID-19 neurological and psychiatric complications warns of mental health problems in younger patients, RCPsych
A study of 153 patients treated in UK hospitals during the acute phase of the COVID-19 pandemic describes a range of neurological and psychiatric complications that may be linked to the virus. The research carried out by the CoroNerve Studies Group, including the Royal College of Psychiatrists, and published today in The Lancet Psychiatry journal reveals that while stroke was the most commonly reported neurological complication in hospitalised COVID-19 patients, many younger patients developed an altered mental state such as psychosis or catatonia. To investigate the breadth of COVID-19 complications that affect the brain,...
Source: Current Awareness Service for Health (CASH) - June 26, 2020 Category: Consumer Health News Source Type: news

Hospital outcomes for patients with pulmonary arterial hypertension in sepsis and septic shock.
Background: Pulmonary arterial hypertension (PAH) is associated with increased morbidity and mortality risk. The risk for adverse outcomes in patients with PAH in sepsis or septic shock (SSS) is uncertain. Methods: Adult patients diagnosed with SSS were identified in the National Readmissions Database over the years 2016-2017. A 2:1 ratio nearest propensity matching method was employed for several demographic, social, and clinical variables. In-hospital outcomes were compared between patients with PAH and those without, using t-test and chi-squared test as appropriate. Patients with cardiogenic shock were excluded. Releva...
Source: Current Awareness Service for Health (CASH) - October 7, 2022 Category: Consumer Health News Source Type: news

Guidelines for virtual home assessment tools
Virtual home assessments could reduce the need for in-person visits. New guidelines could help people develop and use the tools they need to carry out these assessments. Home assessments are for people who struggle to do everyday activities because of disabilities, for example, after having a stroke. These people may require handrails or other adjustments to their home. Researchers in Sheffield worked with service users and local healthcare professionals (including occupational therapists and social workers) to evaluate the pros and cons of virtual home assessments. The service users and allied health professionals gave fe...
Source: Current Awareness Service for Health (CASH) - January 20, 2023 Category: Consumer Health News Source Type: news